CMS Chief Medical Officer to Leave for Role With Insurance Giant Humana

The chief medical officer at the Centers for Medicare & Medicaid Services (CMS) will be leaving the agency next month to take a new position with health insurance heavyweight Humana (NYSE: HUM). Modern Healthcare first reported the news Thursday.

CMS confirmed to Modern Healthcare that Goodrich, who has also served as director of the Quality Measurement and Value-Based Incentives Group at CMS since 2012, will leave the agency sometime in February.

Humana and CMS did not respond to SNN’s requests for comment as of press time.

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Goodrich led CMS’s quality measurement and public reporting agenda and value-based purchasing programs, in addition to being responsible for the implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

The outgoing chief medical officer played a role in CMS’s comprehensive strategy aimed at strengthening the quality of care for residents in nursing facilities, with a specific eye toward transparency, Goodrich noted in an interview on Skilled Nursing News’ “Rethink” podcast last fall.

She also acknowledged the need for CMS’s Nursing Home Compare tool to capture some of the intangibles of SNF care, though she noted there were challenges behind presenting this information to consumers and their families.

“We are definitely interested in exploring and reporting residents’ experience or satisfaction, and looking at different ways in which we can do this,” she said at the time. “It is actually a fairly complex process to undertake, because you of course are capturing the resident or the caregiver’s voice, and we want to be sure that we’re doing that in a way that is accurate and fair — and yet truthful, and gives the information people are looking for. In order to do this, it would require us undertaking a very methodological and deliberate process that, frankly, would take some time.”

Though Humana did not have details on Goodrich’s role, reports indicated she will serve as senior vice president for improving quality outcomes, according to Modern Healthcare.

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